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nurs1220

test 1 mental health part 2

Question

Answer

What are patients rights concerning medications? When can they be forced?

They have the same rights as everyone else they don’t have to take the medication but when they become a danger to themselves or someone or when they can’t take care of themselves they can be forced medication.

How do you use Maslow’s hierarchy of needs to prioritize patient needs?

Maslow Hierarchy of Needs provides each nurse with a priority of client care needs organized to provide the best care to your client directed toward preventing any type of harm.

What are Maslow's hierarchy of needs

Physiology
2. Safety
3. Love
4. Esteem
5. Self-Actualization

How would you respond therapeutically to a patient who divulges that he wishes to kill his father?

Why do you feel that way?” Requesting an explanation. Placing an event in time or sequence, “what seemed to lead up to that?”

How would you respond therapeutically to a patient who divulges that he wishes to kill his father?

Inform patient that you can not withhold that information

How would you demonstrate the termination phase of the therapeutic relationship?

Where would you place a person on the mental health continuum who says that he is happy most of the time and feels good about himself

1 being the worst and 5 being the highest)

What technique can you use to best show that you’ve been listening to a patient?

Paraphrasing
… As a result, the patient is made aware that the interviewer is actively involved in the search for understanding.

What technique would you be using if you told a patient “I noticed anger in your voice just now” “tell me about that”?

What technique would you be using if you told a patient “I noticed anger in your voice just now” “tell me about that”?

What technique would you be using if you told a patient “I noticed anger in your voice just now” “tell me about that”?

Making observations
Calls attention to the person's behavior . Encourages patient to notice the behavior and describe thoughts and feelings for mutual understanding. Helpful with mute and withdrawn people

The patient is trying to shift the focus by asking you personal questions. What would be your most therapeutic response?

Why don’t we talk about you (redirect back

What kind of a statement is this?: “Tell me what was happening to you that led to you being hospitalized”?

Giving a broad opening
Open-ended questions and comments encourage lengthy responses and information about experiences, perceptions, or responses to a situation.

What statement shows that the nurse has empathy for the patient

“How upsetting this must be for you. Something similar happened to my Mother last year, and I had so many mixed emotions. What thoughts and feelings are you having?”

How would you respond to a patient who tells you he has done a lot of lying and cheating in his relationships?

Forming an imaginary or real alliance with a group of people to raise self-esteem

Suppression-

Bottling behavior/ feelings up

Types of crises

Situational: a specific situation. Ex. Death in family.
Maturational: A crisis that happens during a transition from developmental stages (mile stone). Ex. Becoming a teenager.
Pathological: After major event Ex. Natural disaster

Panic disorder

Recurrent episodes of panic attacks
At least one or the attacks has been followed by 1 month or more of persistent concern about having additional attacks, or worry about consequences or significant change in behavior

Phobias

Irrational fear of an object or situation that persists although the person may recognize it as unreasonable – agoraphobia, social phobia, specific phobia,
•&νβσπ;Anxiety is sever if the object, situation, or activity cannot be avoided

ocd

either obsessions or compulsions
person knows the O/C are excessive and unreasonable
the O/C can cause increased distress and is time consuming

gad

Excessive anxiety or worry more days than not over 6 months – inability to control worrying.

Your patient suffers from obsessive compulsive disorder; what are some appropriate therapies to use with that person.

OCD is related to anxiety. Anxiety should be treated. OCD can be addressed through drug therapy and cognitive behavioral therapy